18 results
Approach to Joint Pain - Diagnostic Framework

1) Chronicity
2) Inflammatory vs Non-Inflammatory
3) Number of Joints Involved

1) Chronicity:
reactive arthritis, gout ... Non-bloody: OA, avascular ... Like in this case ... #Joint #Pain #MSK ... #rheumatology #
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
) - MSK Radiology ... interphalangeal joint ... with joint-space ... - **MSK rads ... #rheumatology
Gout Tophus on POCUS

Linear transducer about 1cm away from bone/joint, typical of small joint in a
Gout Tophus on POCUS ... away from bone/joint ... tophi #clinical #POCUS ... #ultrasound #msk ... #rheumatology #
Approach to Joint Pain - Arthritis Differential Diagnosis Framework

Inflammatory Versus Noninflammatory Pain
 • Is it inflammatory
Crystal induced (Gout ... weeks) Can Be Caused ... - Autoimmune Rheumatologic ... Differential #Diagnosis #MSK ... #rheumatology #
MCP Synovitis on Ultrasound
Young rheumatology patient. Florid synovitis of the MCP joint with effusion on dynamic
Young rheumatology ... synovitis of the MCP joint ... Synovitis #Metacarpal #MSK ... #Ultrasound #POCUS ... #Clinical #Joint
Abdominal Aortic Aneurysm (AAA) on POCUS

69 y/o smoker presents to outpatient clinic for inhaler refill. Out
Aortic Aneurysm (AAA ... ) on POCUS 69 ... Out of care >10 ... Global Ultrasound ... #aorta #vascular
Top 10 situations when to think about lupus
1) Inflammatory joint pain (especially in the wrists and
) Inflammatory joint ... 7) Always in case ... 8) Always in case ... has been ruled out ... erythematosus #rheumatology
MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
great toe pain-MTP joint ... without using ultrasound ... POCUS revealed joint ... MSU crystals=Gout ... #ultrasound #MSK
Aspiration of MTP Gout Effusion

Good to the last drop. In-plane ultrasound guided aspiration to maximize fluid
Aspiration of MTP Gout ... In-plane ultrasound ... in this case too ... Effusion #clinical #pocus ... #ultrasound #msk
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
deposition in joints ... attacks • Other joints ... not possible • Ultrasound ... Dual-energy CT → MSU ... management #treatment #rheumatology